THE VALUE OF RESULTS Frank Burns 4 th State Units on Aging Nutritionists & Administrators Conference Baltimore, MD August 2006

AoA Mission “Help elderly individuals maintain their independence and dignity in their homes and communities through integrated, high-quality, cost-effective systems of home and community-based long-term care.”

The Context of Change FModernizing the Older Americans Act FMedicare Modernization Act FGPRA and PART FInitiatives Based on Existing Best Practices FThe Central Product Is Network Services FMeals and Nutrition under Choices--Quality FCompetitiveness through Accountability and Transparency

Our Responsibility Assist the Network in developing tools that will allow them to efficiently and effectively assess and evaluate program performance to ensure that the impact of our programs is, in fact, the restatement of our mission.

AoA’s Program Assessment Basics AoA’s Program Assessment Basics FFocus on Results—Story of Performance FSupport of AoA and Network Goals FThe Context for Change in the Aging Network FInitiatives of the AoA Office of Evaluation FData and Tools to Support Program Assessment FPerformance Measurement Tools and Models FProgram Evaluation

Strategic Priorities FEmpower people for easy access to integrated, quality care FElderly individuals stay active and healthy through evidence-based interventions FTarget those at high risk of nursing home placement FSupport families as they care for the elderly FProtect elder rights and prevent abuse, neglect and exploitation FEffective and responsive management

Client Outcomes Interagency Partnership Program Effectiveness Program Efficiency System Infrastructure InputsOutputsOutcomesImpacts $ People Technology Legislation Evidenced Based models Research Service Units Persons Served $/Service Units #’s # of service activities Increase Service Quality Increase Client Satisfaction Increase Cost/benefit Decrease service Unit costs Increase persons Served OAA $ leverage Increased access Increase targeting Better health Community Connection Age in place Better Quality of life Increased Community Infrastructure for LTC Caregiver relief AoA Program Evaluation Domains Strategies Coordination, collaboration, consumer empowerment, Aging network leadership

Core Outcome Measures EfficiencyQualityTargeting

Tools Under Development FImproved NAPIS Data FIntegrated/Efficient NAPIS Systems FPerformance Outcome Measurement Models FPerformance Outcome Measurement Tools FArea Agency Level Data FProvider Data FProgram Evaluation Protocols FNational, State and Local Statistical Data in Useful and Usable Formats FWeb-Based Versions of Information Collection and Dissemination Tools FProgram Planning Models and Tools